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Decisional Trust and Regret Mediate the HRQL in Work-Related Hand Injury Patients

Published online by Cambridge University Press:  23 March 2020

H.H. Liao
Affiliation:
Chung Shan Medical University Hospital, Department of Surgery, Taichung, Taiwan
S.L. Cheng
Affiliation:
Chung Shan Medical University Hospital, Department of Orthopedic Surgery, Taichung, Taiwan
C.C. Chang*
Affiliation:
Chung Shan Medical University & Chung Shan Medical University Hospital, School of Medical Informatics & IT Office, Taichung, Taiwan
C.H. Lin
Affiliation:
Chung Shan Medical University, School of Medical Informatics, Taichung, Taiwan
F.C. Liu
Affiliation:
Jen-Ai Hospital, Department of Pediatrics, Taichung, Taiwan
C.S. Cheng
Affiliation:
Jen-Ai Hospital, Department of Pediatrics, Taichung, Taiwan
*
*Corresponding author.

Abstract

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Background

Despite mounting evidence that non-injury-related factors have an important role in recovery from injury; specific variables associated with surgery outcomes are poorly understood. This lack of knowledge complicates efforts to improve the care of work-related hand injury (WRHI) patients. However, substantial research and investigation have still not clarified these underlying relationships, which merit further attention.

Objective

The purpose of this study was to evaluate the Health-Related Quality of Life (HRQL) outcome for WRHI patients after the impact of event and to investigate the moderated mediation analysis associated with their decision trust and regret.

Methods

A cross sectional study design was used to investigate the impact of event and the associated HRQL in 53 WRHI patients following severe and major hand injury. All consenting patients completed the Impact of Event Scale Revised, the Symptom Checklist-90-Revised, Decisional Trust scale, Decisional Regret scale and Short Form-36.

Anticipated achievement

In the result of mediation analysis, patients affected HRQL via decisional trust and decisional regret, respectively. In addition, our data suggest that certain decisional trust and decisional regret (partial) characteristics significantly moderate this association. These findings may aid in the development of clinical interventions to enhance HRQL for WRHI patients. Overall, it is important for clinicians to consider the notion that more decisional trust or less decisional regret may sometimes, but not always, be better.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV768
Copyright
Copyright © European Psychiatric Association 2016
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